Scholarlink

Background <p>The metabolic benefits of bariatric surgery are well established. However, its effects on cardiovascular surgery morbidity and mortality are not well understood.</p> Methods <p>Between 2016 and 2021, the Nationwide Inpatient Sample included 343,975 discharges from bariatric surgery eligible candidates who underwent coronary artery bypass grafting, valve, aortic, or combination surgery. Among these were 11,035 (3.2%) patients with a diagnostic code for bariatric surgery. Balancing-score matching was used to mitigate confounding factors between patients who underwent bariatric surgery compared to their eligible counterparts who qualified for bariatric surgery but did not receive it. Obesity class subgroup analyses were also conducted following the same approach.</p> Results <p>Among balancing-score–matched pairs, patients with bariatric surgery had lower hospital mortality (0.9% vs. 1.7% <i>P</i>=.03), fewer respiratory (pneumonia 4.2% vs. 6.9%, <i>P</i>&lt;.001, respiratory failure 8.4% vs. 11%, <i>P</i>=.003) and infectious complications (1.2% vs. 2.0%, <i>P</i>=.03). However, in the obesity class 1 and 2 subgroups, outcomes were similar. Obesity class 3 patients with bariatric surgery had fewer pneumonia and infections compared to their counterparts.</p> Conclusions <p>When comparing patients with and without a history of bariatric surgery, BMI may be an important confounder impacting cardiovascular surgery outcomes. Care teams should aim for metabolic optimization to improve surgical outcomes.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

National Outcomes of Cardiac Surgery in Patients with History of Bariatric Surgery

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年3月18日

查看全文
  • Andrew Tang,
  • Jose Diz Ferre,
  • Guangjin Zhou,
  • Nicholas Schiltz,
  • Edward Soltesz

摘要

Background

The metabolic benefits of bariatric surgery are well established. However, its effects on cardiovascular surgery morbidity and mortality are not well understood.

Methods

Between 2016 and 2021, the Nationwide Inpatient Sample included 343,975 discharges from bariatric surgery eligible candidates who underwent coronary artery bypass grafting, valve, aortic, or combination surgery. Among these were 11,035 (3.2%) patients with a diagnostic code for bariatric surgery. Balancing-score matching was used to mitigate confounding factors between patients who underwent bariatric surgery compared to their eligible counterparts who qualified for bariatric surgery but did not receive it. Obesity class subgroup analyses were also conducted following the same approach.

Results

Among balancing-score–matched pairs, patients with bariatric surgery had lower hospital mortality (0.9% vs. 1.7% P=.03), fewer respiratory (pneumonia 4.2% vs. 6.9%, P<.001, respiratory failure 8.4% vs. 11%, P=.003) and infectious complications (1.2% vs. 2.0%, P=.03). However, in the obesity class 1 and 2 subgroups, outcomes were similar. Obesity class 3 patients with bariatric surgery had fewer pneumonia and infections compared to their counterparts.

Conclusions

When comparing patients with and without a history of bariatric surgery, BMI may be an important confounder impacting cardiovascular surgery outcomes. Care teams should aim for metabolic optimization to improve surgical outcomes.